Individual
KELLY L ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A151114
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A151114
CA
Other
Enumeration date
04/05/2016
Last updated
03/13/2024
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